Leapfrog Hospital Survey Recognition

1. Leapfrog Hospital Survey Recognition Presented By: Bernard A. Niemeier President & Publisher Media Sponsor-Health Summit 2009

2. Hospital Survey Evolution ofThe Leapfrog Group • 1998 - Group of large employers – ‘think-tank’ • Question: How to purchase health care? • Question: How to influence health care quality & affordability  • 1999 - Institute of Medicine report • gave the Leapfrog founders an initial focus: … REDUCING PREVENTABLE MEDICAL MISTAKES • 2000 - The Leapfrog Group officially launched   • Leapfrog funding came from the Business Roundtable (BRT) • 2001- began collecting hospital data by surveying urban and suburban hospitals in 6 regions

3. Hospital Survey Evolution ofThe Leapfrog Group TODAY … • Leapfrog operates in 38 regions - including Virginia • Regions cover over half of the US population • 51% of all hospital beds in the country • 1,286 Hospitals participate in the Survey • Employers of all sizes use the Leapfrog Hospital Survey results to be more educated and better purchasers of health care & services • Leapfrog is supported by the BRT, The Robert Wood Johnson Foundation, Leapfrog members and others

4. The Leapfrog GroupHospital Survey in Virginia • Coalition of employers and other stakeholders • Leapfrog Regional Roll-out Leader since 2003 • 89 Hospitals are invited to participate • 34 Hospitals participated in 2008, or 40% • 29 Urban hospitals, or 50% • 5 Rural hospitals, or 16% • “Evidence-Based” • VBCH supports body of research showing that measurement & public reporting improves quality Virginia Business Coalition on Health

5. Leapfrog Hospital Survey Recognition - 2008 • Report cards were presented during educational programs • www.LeapfrogGroup.org/cp was electronically distributed to thousands of employers and their employees • Leapfrog site is posted to VBCH website • Employers design health benefits around Leapfrog transparency/fully meeting leaps • Hundreds of Leapfrog “Thank You” fliers distributed

7. Recognition for Progress Computer Physician Order Entry (CPOE) Leap Fully Met: • VCU Health System Hope for 2009 and beyond: Leap ¾ Met: • CJW Medical Center • Lewis Gale Medical Center • Riverside Regional Medical Center

8. Recognition for Progress Evidence-Based Hospital Referral (EBHR) “high success rate + appropriate care + low cost” Leap Fully Met: • Bon Secours Maryview – Bariatric; AVR • CJW Medical Center – CABG; AAA • Henrico Doctors Hospital –DEL; AVR; PAN • Riverside Regional Medical Center –CABG, PCI; DEL; AVR • Sentara CarePlex Hospital – Bariatric; AAA • VCU Health System – CABG; DEL; AVR; ESOPH; PAN • Winchester Medical System – PCI & CABG; AAA LEGEND: AAA=Abdominal Aortic Aneurism Repair; AVR=Aortic Valve Replacement; CABG=Heart Bypass Surgery; DEL=High Risk Delivery; ESOPH=Esophagectomy; PAN=Pancreatic Resection; PCI=Percutaneous Coronary Intervention

9. Recognition for Progress “Appropriate ICU Staffing” Leap Fully Met: • Bon Secours Maryview • Children’s Hospital of the King’s Daughter • Retreat Hospital • Riverside Regional Medical Center • Sentara CarePlex Hospital • Sentara Leigh Hospital • Sentara Virginia Beach General Hospital • Sentara Williamsburg Regional Medical Center

10. Recognition for Progress “Steps to Reduce Harm”Safe Practices Score (SPS) Leap Fully Met: • John Randolph Medical Center • Lewis Gale Medical Center • Pulaski Community Hospital • Retreat Hospital** • Sentara Leigh Hospital • Sentara Norfolk General Hospital • Sentara Virginia Beach General Hospital • Sentara Williamsburg ** HIGHEST TOTAL POINTS IN VIRGINIA

11. Recognition for Progress “Managing Serious Events”Adherence to “Never Events” Policies Policies Fully Met: • Allegheny Regional Hospital • CJW Medical Center-Chippenham Campus • CJW Medical Center-Johnston-Willis Campus • Culpeper Memorial Hospital, Inc. • Fauquier Hospital • John Randolph Medical Center • Lewis Gale Medical Center …continued

12. Recognition for Progress “Managing Serious Events” Policies Fully Met: …..continued • Montgomery Regional Hospital • Pulaski Community Hospital • Reston Hospital Center • Retreat Hospital • Riverside Walter Reed Hospital • Rappahannock General Hospital • Henrico Doctors Hospital • Henrico Doctors Hospital – Parham Campus

13. Leapfrog 2008 Hospital Survey SPECIAL RECOGNITION - AWARDS: Hospitals that Fully Met 2 Leaps: Sentara Virginia Beach Hospital Sentara Leigh Hospital Retreat Hospital**** HIGHEST TOTAL POINTS IN VIRGINIA:SAFE PRACTICES SCORE

14. Leapfrog 2008 Hospital Survey SPECIAL RECOGNITION - AWARDS: VCU Health System • Fully Met CPOE Leap • Fully Met the Most High-Risk Surgical Procedures: …5 Procedures

15. Leapfrog 2008 Hospital Survey SPECIAL RECOGNITION - AWARD: The Rural Hospital Most Fully Transparent: …in all applicable Survey areas Alleghany Regional Hospital

16. Leapfrog 2009 Hospital Survey Leapfrog Hospital Survey ~ 2009 • Letters and Security Code packets mailed April 2 by Regional Roll-out Leader, Virginia Business Coalition on Health • Complete Survey through June 30th • Results go live at www.Leapfroggroup.org • Hospital update results • ….monthly through March 2010

17. Leapfrog 2009 Hospital Survey Leapfrog Hospital Survey ~2009 • Goal: more hospitals complete Survey • Urban and Rural Hospital can complete • “Safe Practices Leap” • “Adherence to Never Events Policies” • Benefits of Transparency: • Recognition • Financial Reward • Summary Performance Report • Other reports on hospital’s quality improvement • Patient steerage • Employers and employees will love you! • Contact VBCH for details or visit www.myVBCH.org

18. Leapfrog Hospital Survey Thank you! Transparent Hospitals Virginia Business Coalition on Health